NPIMap

Organization Active NPI

Spirit Physician Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Wormleysburg, PA
National Provider Identifier
1194183822
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SPIRIT PHYSICIAN SERVICES, INC
Practice address
20 Erford Rd
Wormleysburg, PA 17043-1163
Phone
(717) 763-3008
Fax
(717) 972-6865
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David A Gatesman
Title
Vice -President
Phone
(717) 972-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X PA Primary

Addresses

Primary practice location

20 Erford Rd
Wormleysburg, PA 17043-1163

Mailing address

205 Grandview Ave
Suite 210
Camp Hill, PA 17011-1708
Phone (717) 972-4480

National Provider Directory

National Provider Directory
Tax ID family
Spirit Physician Services Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

20 Erford Rd
Wormleysburg, PA 17043
Phone (717) 763-3008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1194183822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708",
            "telephone_number": "717-972-4480",
            "fax_number": "717-972-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ERFORD RD",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431163",
            "telephone_number": "717-763-3008",
            "fax_number": "717-972-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "GATESMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE -PRESIDENT",
        "authorized_official_telephone_number": "717-972-4480"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.